HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/1/17 Permit Number:
RECEIVE®
i
Building Permit Applicati Dn
Planning and Development Services NOY 12017
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 Permitting Department
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Ijdj FL
PERMIT APPLICATION FOR: Roof Sh r
PROPOSED IMPROVEMENT LOCATION:
Address: L 3 I e r 45+ 9 69
Legal Description: LINKS AT SAVANNA CLUB (PB 40-39)BLK 35 LOT 22(OR 1588-383)
Property Tax ID#: 3425-707-0080-000-8 Lot No.22
Site Plan Name: Block No. 35
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TEAR OFF EXISTING SHINGLE ROOF AND INSTALL NEW SHINGLE ROOF (MOBILE HOME)
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—c ec a appy:
HVAC Ei Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
11Electric 0 Plumbing Sprinklers Generator Roof 4 12 Roof pitch
Total Sq. Ft of Construction: 2700 SFt.of First Floor:
Cost of Construction:$ 9520 Utilities:In Sewer E]Septic Building Height: 1 STORY
OWNER/LESSEE: CONTRACTOR:
Name 5l_A7T a0L- Qx i Name: C*A0,r 1-e.3 Qt.clr OX-d5
Address: '3/63 (3 �' te_-6f 2C en Company: ALL AREA ROOFING
city:ark S-�- 1_xLeleJ State:FL Address: 3gal 5 US 164
Zip Code: 34952 Fax: City: State:FL
Phone No.908-309-3817 Zip Code: 34982 Fax: 772-464-6600
E-Mail: Phone No. 772-464-6800
Fill in fee simple Title Holder on next page(if different E-Mail: JENNIFER@ALLAREAROOFING.COM
from the Owner listed above) State or County License: CCC1326177
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize thepermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commenciDg,Work or recording our Notic of Commencement.
117"
la""& 11011' 'r
Signa of Owner/Lessee/ ontractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
CO U NTY OF ST LUCIE CO U NTY OF ST LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this I day of NOVEMBER 20 1-7 by this 1 day of NOVEMBER 20-01 by
CHARLES RICHARDS CHARLES RICHARDS
Name of person making statement Name of person making statement
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produ ed Produ ed
(Si nature of Notary Public-State ofAorida) natur of Notary Public-State of Florida)
aot►� FAITH MASONotits�?u9��c l F�j ITH MASON
Commission No. (SdW)OMMISSION#GG00393 Commission No. * ��� SSION#GG 003939
EXPIRES:June 20,2020m, or EXPIRES:June 20,2020
pjFOF Bonded ThN Budget Notey.%,rice ��FOF F�pQ` Bonded Thru Budget Notary Sankes
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17